HomeMy WebLinkAboutBuilding 02-0673
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8
i
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1. White File
2 Pink City
3. Yellow Applicant
!;-CJ-O- d-
I PERMIT NO. OZ- -Ob 73 I
ZONING (office use)
KJ...
LjC;7~
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PI
:... ()/!J-()
OWNER a ~
(Name) -' IJ I ,c)l
(Phone)
(Address)
~:iS-3~5
BUILDER /? ~
(Name) (.-f' 11 / .,R.~
(Contact Name) /.3;/1
(Address)
//cf41'I!fJ :s
51!' J:>1o#
~
(Phone)
(Phone) q<;ol -d.~5 -d'S1-5
TYPE OF WORK
New Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
DLower Level Finish
o Fireplace
OAddition
OAlteration
OUtiIity Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon op<;..rty to perform n de . spections.
.~.:/.
-7T~o7~ 737
Contractor's License No.
os;} ~o<
ate
x
Permit Valuation
Park Support Fee
SAC
#
--
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Water Meter Si
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
fJJ r 7--0Z-- $ 8. I t./-S 97
I ~~ ly'~/
~ ~ 07--
I ~~~ ~~;:':L
s Your Building Permit When Approved
Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
~~~ned by the lly Planner constitutes a temporary Certificate of Zoning compliance and allows construCl1on to commence Before occupancy, a Certlficate of Occupancy must be
I(~ ~rA ~!\
- . ~ (.'/1/€1L- _/~.L&t-'Pc:~,-~-9-~~'1<-)
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
Canary - Engineering
Pink - Planning
fh(' ("('nlfr nf the I.akt' C"ountf)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT (l ~ ~
APPLICATION RECEIVED S - <..9..0-;)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L L(t/lt3- ~ W(r-'
Accepted Accepted With Corrections ><
Denied .,LJ-j}~
Reviewed By: ~~t
Comments:
~~ oJQ &thrW ~J.~
Date:
5- 28~
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
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pUB SUO!lBO!l!oads 'sUBld 10 IBAOJddB JO l!wJad B lO 5u!IUBJ5 JO aOU13nSS! 841"
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White - Building
Canary - Engineering
Pink - Planning
Thr- ("f'n.u of 'hr t.k, Country
NAME OF APPLICANT
APPLICATION RECEIVED
(~4 i/~u.J
~-d()-;J
The Building, Engineering, and Planning Departments have reviewed the bUilding pennit
-. '- application for construction activity which is proposed at:
11-1/-/7J (~dZ<<;Cl'& U)r.:<~
[ / ~
v ~._...
Accepted X
Denied
Accepted With Corrections
Reviewed By:
.~
Comments: See Reverse Side for Additiona/lnformation!
~ .
Date:
S-, -.J/-O~
~
~
-
~
~
~
::>ee Attachments; 1) Gradmg Plan, 2) Erosion Control Measures
3) Erosion Control Plan
"The issuance or granting of a permit or approval of pians, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction, Permits
presuming to give authority to violate or cancel the. Prpvisions of this code or other
ordinances of the jurisdiction shall not be valid."
.
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...:' CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'dj
, ,~
;:.;'
I. Pink
2.0.-
3. Yellow
/lD~.:> c;-
~!~. [PERMIT NO.-J_ / '1~ .jj...\~.'I.~::
^PIlhCAllI ,?^ lD. .., ".:.'~.~..:.
. '.. ". .r,<::!l;~
ZONING ,_'-! ;',
'ilil
prn
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL 13 ,,~ 0 '" + ~>:o .,. ?, 7<, FUEL &.s
FLUE SIZE Pvc RE11JRN OPENINGS 3" INPUT;? 0, "''''0 OUTPUT 7'1, O~Q.
TYPE OF SYSTEM HEATING OR POWER PLANT
(O'Warm Air Plants 0 Steam
. OGravity 0 Hot Water
o Mechanical . 0 Radiation
0'Air Conditioning 0 Special Devices
~ent. System 0 Other Devices
PLEASE NOTE: . :.~
Air Conditioner Units ',.i
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39..50
$39.50
(Phone)
APPLICANT
(Name) #~~-J., ''^J
(Address) ,I 9'
:}- (1 o~ /,;,\,9
-rI~
(Phone)
7G 3 - 4:1.1'- 5(, 77
(Contact Person)
~" "'1
APPLICANT SIGNATURE
(Phone) ~ / L - '$ (. 3 - 5'"5 ~ 7
DATE L
FIREPLACE MAKE AND MODEL
Industrial. Commercial'" Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential. Heating'" Ale (New Construction)
Residential, Healing Only (New Construction)
Estimated Cost $
Building Permit #
(omCl! Use Only)
This Application Becomes Your Building Permit When Approved
HEA TING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
)'ta.,
(~~~O~)>,
. ." .Q..j:):- .. .
Receipt Q.
Paid
Buildinc Official
Dlte
Date
24 hour notice for IUlnspections (952) 447-9850, fIX (952) 447-4245
10"d
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OM~ ~NII008 ~ ~NI~~3H W~ 90:80 G0-2:1-~n~
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CITY OF PRlOR LAKE PlC::vrBI~G PER.\IIT
D:4t~ Rec'd
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(=~p C,:Li~)
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1.0 '.::..; r: :.1\..:: ? :;~c ~)
'~~rr~-I'-"""'''I---~'\TT'DC" /7 ,1,.//.1
.-..-::-L.,.'<l.)lvj,..... \.J,~..:. ~
\ ~- .:,; r.<.:)
QU:.lntiry Type of H'Cture
Bath Tub 'Ntth or without Sno\ve:-
Dishwasher
I floor DrJIn
I LJ.'iJrorl (8;uhroom Sink)
i L.:lUnJry TrJY ( 1 or: ..:cmp;.ucmem sink
( I Shower Stall
I I Sinks
I Bar Sink
.3 I Water Closet (Toilet)
APPLICA;';'T PLEA.Sf COc\fPLETE BELO\-'"
QU~ntiry Type of Fixture
Rou;h- inS
Ware:- Heate:-
\Vate:- Sl)t'me:-
Sr:1nd P:r.~ (\VJs!1mg 'vrJchlne I
i Sewage Eje::wr
I Backt10w Assembly
I Backr10w Assembly Test
I Lawn Sprinkler
I Other
FEE. SCHEDliLE.
Industrial. Commercial & Multi-family 1% of job cost with a 539.50 minimum
Estimatd Cost :s
Residential, New One & Two-FJIllily 599.50
Residential, AJdieions & Alteraeions :539.50
Buik!ing Pe:-:nir:t-
(Office Use Only)
PLUMBfNG PERl\rfIT FEE .'5
STA TE SURCHARGE .'5
TOTAL PER\l1T FEE .'5
.50
""PA/O W
~!lO:NG Jf~
This Applic:ltion Becomes Your Building Permit When Approved Paid
Buildin~ Official
Date
Date
JUl 3 j 2002
.:~ hour notice for ail inspectIOns (~:5:) -47-985U, fax (95:) .447~:..:5
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~:~~~ J!Zicant l PERMIT NO. ;) -to -13 I
-f.M2I CASTLE GA TE WAY NW
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
PID
CENTEX HOMES
(Phone)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW A VENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
8/5/2
APPLICANT PLEASE COMPLETE BELOW
xO NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOTE:
o Gravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEA TN GLO SL-550TR-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
(Office Use Only)
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
r
&6 ^ P,q p
"'~/~ 'D!.
Receipt ~. ;:
This Application Becomes Your Building Permit When Approved Paid
.......
Building Official
Date
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
14472 CASTLEGATE WAY
f~~~~ E~icant l PERMITNO.d__&'~73 l
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
PID
CENTEX HOMES
(Phone)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW A VENUE
(Address)
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
8/6/2
xO NEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
OVenl. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEA TN GLO SL-550TR-C
APPLICANT PLEASE COMPLETE BELOW
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$39.50
$39.50
Building Permit #
$
$
$
.50
Paid
Receipt No.
Buildine Official
Date
Date
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEfJARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /44'12.. CasN.e::rf..., ~(
NATURE OF WORK A)~ )
USE OF BUILDING ~FD
PERMIT NO. 02-060~~ DATE ISSUED 5-'2.'0 _ 02...
CONTRACTOR \..h.. "T~ PHONE '75.{ - A3:)--2-slJ3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW.
THE PERMIT IS BY SEPARATE DOCUMENT
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
FOOTING Sfo .
FOUNDATION (Prior to Backfill) 1 \ o:l-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~ (q ~l
C.
~
0(., ~
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
J 1
FINALS
J
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have. b"en ~pproved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
tw? . _1&~2-
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850